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The complete guide on how to find reliable essential oil information

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When we enter the world of aromatic plants, essential oils and aromatherapy, we’re usually all excited and pumped up to try everything. But it is precisely this phase of initial enthusiasm that may pose a threat. We can quickly misinterpret things or start following wrong or even dangerous advice, ending up doing more damage than good.

As a beginner, how can you recognise good and bad practices from a jumble of internet sources, books, friends, aromatherapists? What details should you pay attention to when discovering a new source of essential oil information, and which claims should set alarm bells ringing?

How can you know who is trustworthy and whom to avoid in a big circle?

In the beginning, things can look very confusing. People make all sorts of claims that may seem odd or contradict what others say, and you can quickly end up in an information overload.

I always recommend learning the basics before you start using essential oils: what essential oils are and what they are not, how they are produced, when is it justifiable to use them and when it is not, which ones are most suitable for home use and which you should avoid, and general safety measures. When familiar with the basics, everything will be much easier.

While differentiating between reliable and less reliable sources requires knowledge and experience, eliminating useless, misguided or even dangerous advice is relatively easy.

In the following, I will describe some key points that you can use to orient yourself and eliminate questionable sources even if you don’t have any experience. We can separate those key points into two groups: to the first group belong those concerning plants and essential oils as such and to the second one those relating to the use of essential oils and aromatherapy in general.

NOTE: The mentioned signs, phrases or recommendations have orientation purpose and mark only the most obvious criteria for identifying suspicious information sources. You should have in mind that we all continuously learn and make mistakes, and a lapse here and there does not necessarily mean that the source or a person behind it is unreliable. Moreover, new data about essential oils and their use is emerging fast, which means that something that held true yesterday may turn out to be incomplete or even wrong today. So check out multiple signs before deciding whether you trust someone or not.

1. GENERAL INFORMATION ABOUT ESSENTIAL OILS AND PLANTS

  • Is there a definition of essential oils and is it accurate?

Essential oils aren’t any life force, they don’t circulate in plants like blood or even carry oxygen and nutrients, and thus aren’t any circulatory or immune system analogue of plants. If you see such claims your alarm bells should be ringing.

Read more about essential oil definitions and how they differ from the plant volatiles.

  • Not all aromatic extracts are essential oils

There’s no essential oil of jasmine, violet, honeysuckle, osmanthus, tuberose or carnation, and neither are there essential oils from animals. If it’s obvious that an author doesn’t discriminate between essential oils and solvent extracts (such as absolutes, supercritical (CO2) extracts, tinctures, etc.), this indicates the lack of the most basic knowledge about essential oils.

A particular part of the story is not distinguishing between essential oils and fatty plant oils. I heard about the peanut essential oil, for example. Essential oils aren’t technically oils. Generally, they don’t contain lipids, such as triglycerides (fats), waxes or sterols, although some contain very small amounts of fatty acids, a type of lipid. Essential oils are predominantly composed of terpenes and phenylpropanoids, and their derivatives.

  • Not distinguishing between natural extracts and perfume oils

Essential oils of peach, apple, strawberry and other fleshy fruits don’t exist. Their fragrances are sold as perfume oils, reconstitutions of natural fragrances using synthetically manufactured aroma chemicals, which also comprise a significant part in the majority of modern perfumes.

In recent years, however, natural extracts of certain fruits appeared on the market in the form of supercritical (CO2) extracts, or as mixtures of natural isolates. Natural isolates are single compounds obtained from plant extracts by a process called fractionation. That’s why reconstitutions from natural isolates can be marketed as natural products and used in natural cosmetics, even though coming from many different plants that may have nothing in common with the plant whose fragrance they’re used to reconstitute.

  • Are the botanical (Latin) names stated?

If a source is supposed to be an expert or a professional one, botanical naming is the standard. Clary sage and common sage, Roman chamomile and German chamomile, sweet basil and holy basil can differ substantially in their volatile composition and safety measures.

Botanical naming is the most precise and internationally accepted way of classifying plants; not employing it is not a good sign.

On the other hand, it’s useful if you get familiar with the botanical names, if only just a few basic ones. Searching for information using the botanical names will significantly boost the likelihood of finding higher quality results.

  • Claims that essential oils were used by the Ancient Egyptians and/or mentioned in the Bible

Yet another type of claims with no scientific evidence, sometimes reaching unbelievable proportions. Essential oils as we know them today have existed for about 1000 years (though some new but inconclusive evidence points in another direction, but that’s another story).

The oils mentioned in ancient texts were most likely herb and resin infused oils, not essential oils. When writing about the supposed ancient use of essential oils, authors frequently use just “oils”, omitting (on purpose?) the “essential” part. Such hiding behind unspecific terms is all over the place in many generic articles, listicles and infographics (see next bullet). You can check out for yourself how many essential oils does the Bible actually mention.

Let’s move on to some less obvious, but more significant points.

  • Equating beneficial effects of essential oil with herbs

This is likely the most widespread misassumption that is unique to aromatherapy. It started at least 400 years ago (but probably much earlier) when leading herbalists were incorporating distilled plant products into their medical practice (e.g., Culpepper 1652). Of course, nothing was known at the time about the chemistry of medicinal plants.

However, this generalisation continued in the 20th Century when early aromatherapists drew their knowledge mainly from herbal books. And sadly, it remains widely present in many of today’s popular aromatherapeutic books and online sources.

Although essential oils are highly concentrated, their composition represents only the volatile part of plants’ secondary metabolite profile. It is estimated that of all known secondary metabolites, volatiles present roughly about 1% (Dudareva et al. 2006).

In the majority of medicinal plants, known beneficial effects are due to non-volatile compounds, such as alkaloids, tannins, carotenoids, bitters, mucilages, flavonoids, saponins and vitamins. Aromatherapy is only a small and specific subset of more general phytotherapy.

Essential oils, for example, cannot have astringent effects because they don’t contain tannins. Distillates from St. John’s Wort (Hypericum perforatum) won’t have antidepressive activity as they don’t contain hypericin and hyperforin. Frankincense (Boswellia sp.) essential oils won’t contain anti-tumorigenic boswellic acids, and there will be no cannabinoids (such as THC and CBD) in the cannabis distillates. There’s much more to this – in fact, this misconception is so huge that it undermines the credibility of aromatherapy as a whole.

Is there a way to recognise this bad practice? Well, it’s difficult if you don’t know what to look for, but listing all sorts of healing effects without citing the relevant research (see next bullet) is already a bad sign. If the original research is cited, you can google the headline and usually it is evident from the abstract whether the study was conducted on essential oils or solvent extracts. If it just says that ‘extracts’ from X plant were used, you can be quite sure there were no essential oils involved.

It is true that the majority of research is done on solvent extracts and single constituents, rather than essential oils. But this shouldn’t be the reason or an excuse to extrapolate those findings to essential oils.

  • Is original research cited?

For general information about essential oils, citing original research is not necessary, but is indeed desired when making specific claims. Scientific literature is based on the empirical method (controlled conditions, precise measurements, sufficient sample size, reproducibility, statistics, peer review, etc.), and should thus be the primary source of essential oil information.

Citing original research not only lends credibility to claims that an author makes, but it’s also a fair way of making information transparent to the audience.

  • Is the cited research interpreted correctly? (if you’re a beginner, you can skip this one)

It’s easy to search databases such as PubMed, Research Gate or Google Scholar to find scientific articles, books and other reports. There are thousands of published papers about essential oils and their constituents.

What matters is how the research is interpreted. Although it may be difficult to determine if the cited research is correctly interpreted or even relevant, you should at least be aware of potential traps.

1) Not all research is quality, especially nowadays when quantity is more important than quality. The internet is full of dubious “scientific” journals and publishers that will publish just about anything, as long as they collect their publishing fees. Bad research can be noticed from a mile away, but sometimes it requires careful reading throughout the article.

2) Incorrect interpretation of research results can happen when an author lacks sufficient background, reads just an abstract of a study, or is just sloppy. One of the most common examples of misinterpretation is an over-interpretation from in vitro (lab) studies to whole organisms. If a study finds that an essential oil or a single compound from that oil exhibits anti-tumorigenic potential on a human tumour cell line, this doesn’t mean it can actually cure cancers in humans.

Another frequent misinterpretation is taking individual claims out of context, such as “forgetting” to mention that a study was conducted on mice (thus implicitly suggesting that the results are proven for humans) or that results are valid only in certain conditions. Such claims can quickly mislead us. In most cases, high-quality clinical trials supported by relevant mechanistic studies are the final step in providing proof that something works for humans.

3) Cherry picking. Let’s say you read an online article citing a study A that confirms the hypothesis X. You will believe that claim, right? But what if there’s also a study B (and perhaps C) that rejects that hypothesis or is inconclusive about it, but is not mentioned in the article?

You guessed it: it’s not good, it’s difficult to spot (unless you’re a specialist in a field) and it’s called cherry picking, or biased representation of data. There’s not much you can do about it, but bear in mind that nobody is entirely immune to it, including the researchers. In most cases, cherry picking is unintentional. Authors may simply find what they search for and cite it to back up their claims, without looking at the big picture.

  • Claiming that home users can discern essential oil quality and purity based on GC–MS analysis

When it comes to quality of essential oils, you will sooner or later encounter the acronym GC–MS (Gas Chromatography and Mass Spectrometry). It is the key analytical method, which enables us to see the detailed chemical composition of essential oils.

The goal of the GC–MS analysis is to explain as much essential oil composition as possible and to identify potential impurities. The end result is a list of constituents and their percentages, identified in a specific distillation batch of essential oil.

In recent years, an idea became popular that home users themselves can read from the GC–MS report if an essential oil is pure and of high quality. The idea is indeed attractive, but in reality, it’s not that easy. Unless your oil is poorly adulterated (with something that obviously shouldn’t be there) and you know what you’re looking for, it’s very difficult.

In most cases, essential oils are adulterated with nature-identical aroma chemicals, produced via organic synthesis. The process of manufacturing aroma chemicals always leaves certain impurities, which act as markers analysts are looking for when verifying authenticity. There are other methods, such as measurements of optical properties of the molecules, which can further inform the analyst whether synthetic adulterants were added.

Non-specialists do not have this information at hand and must, therefore, rely on professional analysts or trust the providers.

Can the GC–MS analysis tell you the quality of essential oil?

Assuming you have a pure and authentic oil, what is the measure of quality? Is it the diversity of the constituents? High levels of key constituents? Or rich and natural smell?

Well, it depends on whom you ask; there’s no right or wrong answer. Quality depends on what you’re planning to do with your oil. The GC–MS analysis can help you with that decision, but it does not, by itself, determine the quality of essential oils.

You can, however, use the report to calculate safe dilution rates for oils that contain toxic or irritable constituents (see next bullet) or to pick up essential oils with the highest levels of desired constituents.

2. INFORMATION ABOUT ESSENTIAL OIL USE

Now if we can pardon some incorrect information about essential oils since not every provider has a background in natural science, it is advisable to take a more critical stance towards various recommendations regarding their use. Let’s scroll through some key points that will help you determine whether the source is trustworthy or not.

  • Advising topical use of undiluted essential oils

You probably know that essential oils are highly concentrated mixtures of compounds that may be irritable or toxic if used undiluted. As a rule of thumb, all essential oils must be diluted before application, especially if you’re not familiar with the particular oil. For a dermal application, typically 1-3% concentration is used, but safe dilution rate varies considerably, depending on the essential oil, type of application (massage or local targeted application), age and dose.

How can you find safe dilution rates for specific essential oils?

It’s always good to have an evidence based literature at hand, whether you’re new to essential oil use or an experienced user. A classic resource on safety guidelines is Robert Tisserand’s and Rodney Young’s Essential oil Safety(Second Edition from 2014). Although some resources may be a bit outdated, you will find lots of useful information about essential oils and individual constituents, with updated safety guidelines and regulations.

If you don’t have an appropriate book or want to have the newest guidelines, or you’re thinking of selling your products, you can look at the IFRA’s Standards page for consumer cosmetic products safety recommendations. Search under the “Standards library” and click “+” (this will show details) in the search results table. For example, if you type in “lemon” and click “+” at the “Lemon oil cold pressed” search result, you will see this:

ifra essential oil

This means that the maximum recommended level for the dermal application of the cold pressed lemon essential oil is 2% (on a weight-per-weight basis). You will also notice that this limit is due to known phototoxic compounds in that oil and that you should take into account their combined effect when using multiple phototoxic materials (expressed citrus oils except sweet orange oil, and some others such as angelica or cumin, are phototoxic).

Note however that only a few natural extracts are listed in the standards library, and you will likely have to search by individual toxic or sensitising constituents, which act as limiting substances. This makes sense as their quantities can vary significantly from batch to batch. For example, if your oil has 33% citral (geranial + neral) and the safety limit for citral is 0.6% for a leave-on topical application (Category 4), you should dilute to 100/33 = 3*0,6% = 1,8% max.

But how can you know which compounds are likely to be limiting for specific oils?Well, there’s no other way but to learn them.

Some common examples: carvone (spearmint), cinnamic aldehyde (cinnamon), citral (lemon balm, lemon grass, citronella, lemon tea tree, verbena…), citronellol (geranium), cuminaldehyde (cumin), estragol (tarragon, basil, star anise, fennel…), eugenol (clove), geraniol (geranium, thyme, palmarosa), octenyl acetate (lavender), methyl eugenol (rose, holy basil, pimento, bay leaf…), rose ketones (rose). This is by no means an exhaustive list!

  • Advising the use of essential oils in water

Quite frequently we can encounter recommendations to add essential oil to a glass of drink. In this case, we’re dealing with the internal use of essential oils (see next bullet), as well as the use of undiluted essential oils.

Have a look at this advice:

hint of mint? Well, if you try this (better not to) I can guarantee it won’t be a hint but a burning punch in your mouth. And what’s wrong with the mint leaves, anyway?

Water and essential oils don’t mix, regardless of the quantities used. You risk contact of an undiluted essential oil with mucus layers in the oral cavity, oesophagus and stomach, which can cause burns and inflammations.

The fact that essential oils and water don’t mix must also be taken into account when preparing aromatic baths.

  • Advising the internal use of essential oils

The notorious internal use. In general and especially as a beginner you should avoid internal application of essential oils for any therapeutic purpose. It’s OK if you mix a drop of essential oil into a jar of honey to flavour it, but targeted internal use for therapeutic purposes usually consists of much higher doses and is limited to very specific cases.

Bear in mind that internal use doesn’t include only ingestion with oral capsules or direct ingestion together with food or drink, but also an application by rectal and vaginal suppositories. Application of aggressive essential oils on mucous surfaces such as oral cavity, vagina or rectum can cause serious burns and tissue necrosis when used in high concentrations, and local inflammations in prolonged exposures even when highly diluted (Endo and Rees 2007, Sarrami et al. 2002).

For some, ingesting essential oils is something progressive, as opposed to ‘old-school’ traditional thinking that is against internal use. I don’t see this as a traditionalist/progressionist issue because essential oils are extremely diverse; any generalisations on their activity and safety measures are simply misplaced. Each case needs to be assessed individually, and more safety data specific to internal use is generally needed.

In lay advice and coffee talks, internal use is often recommended for irrelevant, inappropriate or overly casual situations. For example, drinking water with lemon oil for more energy (where a better option would be to drink a glass of good old lemonade), treating vaginal infections with a tampon soaked in tea tree oil, or easing the teething pain with clove oil.

Another misleading claim comes from certain well-known providers, asserting that their essential oils are the only ones pure and therefore safe enough to be used internally. They may further justify this by pointing to other providers’ labels stating that essential oils are not intended for internal use.

It is indeed possible to register certain essential oils as a food supplement in some countries such as U.S. However, this does not depend on quality or purity of essential oils but on regularities under which they are registered (see next bullet). What matters the most is that essential oils’ safety does not depend on the producer, but on their chemical composition, application mode, dilution rate and dose.

  • Labelling and marketing essential oils as therapeutic, medical, clinical and food grade

What exactly is the measure of therapeutic, medical, clinical grade? Who determines that?

As long as our essential oils are pure and authentic, they are suitable for therapy. Various labels, grades and fancy looking acronyms have nothing to do with actual therapeutic potential; they are just a marketing move. Don’t let them fool you.

There are of course some legitimate certificates such as those concerning growth standards (bio, organic, etc.), cultural standards (e.g., kosher) and certain international quality standards such as ISO or pharmacopoeias. The latter, however, define industry standards rather than therapeutic potential as such, and they apply only to a fraction of essential oils.

Certain essential oils have the GRAS status (meaning “generally recognised as safe”) which is approved by the FDA. Hence, they can be registered as food additives in the U.S. Again, the GRAS, or similar status in other countries, is not a quality or therapeutic grade, it just means that the material – a mixture or a single compound of natural or synthetic origin – is safe for its intended use as a food additive (flavoring) in very small amounts.

Check out this post about essential oil quality and certificates if you want to dig a bit deeper into this topic.

The bottom line is that there are no objective criteria for quality and no formal regulatory bodies for quality or therapeutic certification. Again, quality is a matter of context and depends on what we want to do with our essential oil.

  • Employing functional groups to explain biological activity of essential oils

You may have encountered claims such as:

  • To prepare a wake-up blend, choose essential oils high in alcohols
  • Roman chamomile essential oil prevents spasms because it is rich in esters
  • You should avoid using essential oils rich in ketones because they are neurotoxic

Well, I wish it were that easy! The functional group approach shows up in various forms, colours and sizes. Sometimes it’s hard to recognise as such because authors may not present it as a theory/hypothesis but simply take it as a fact. Whenever you encounter claims or graphical representations how essential oils are supposed to work in the body based on whole groups of molecules with similar properties, this is functional group theory.

I’ve written elsewhere extensively why the functional group theory is wrong. If you want to skip the details, the takeaway message is that this theory is only superficially scientific and has no real explanatory value. It’s one thing to classify essential oil constituents according to their chemical structure, which is fine (and it’s how you learn chemistry), but it’s something entirely different to attempt to explain extremely complex biological processesbased on mere chemical classifications.

Biology is way more than chemical groups. The good news though is that you don’t need to be an expert in chemistry to know how to use essential oils.

  • Recommending the use of essential oils for 1001 troubles

Essential oils certainly have proven biological and psychological effects, but they’re far from being a miracle solution to every problem. I’m frequently bewildered when reading through all sorts of indication lyrics, claiming that anything can be used to treat just about everything.

For example, listings of “27 reasons why you should use x oil” can be misleading because the majority of those reasons usually won’t have practical significance. You would either intoxicate yourself before some of the effects could even take place, or there are simply better solutions out there.

Be careful when encountering any big claims. Usually, it’s just a sign that someone wants to sell their products or give an impression of being an expert (see next bullet).

  • Over-emphasising own expertise

This one can be rather tricky to notice by a beginner. Listing large numbers of beneficial effects, using unnecessarily difficult to understand, fancy-sounding terminology, citing a lot of poor or irrelevant research, offering definitive answers to complex problems, or continuously stressing one’s own experience in the field, should raise an eyebrow.

Learning how to tell apart talking smart and being smart is not easy. Try to read between the lines, don’t take what you read for granted – no matter where it comes from – and think rationally. Don’t let big claims and promises take over when deciding whom do you trust. Here’s a nice list of common logical fallacies, specifically relevant for aromatherapy; it’s an excellent exercise for developing critical thinking.

It’s quite funny actually when some people continuously underscore evidence-based approach but in the next moment say something esoteric or biologically nonsensical. This is not holism but mixing apples and oranges. Bear in mind that a true expert is very careful about the claims he or she makes, rather than acting like a know-it-all.

  • Recommending the use of essential oils to treat diseases that need professional medical care

Take the amazing stories about almost miraculous healing that you read on facebook with a grain of salt. Even in cases that someone truly recovers from a severe condition, it’s very difficult to pinpoint the exact cause.

There’s no proof that essential oils can cure cancer or any other serious medical condition in humans. Following such advice can give you false hope, causing you to lose precious time when you could already be seeking professional help. Recommendations of this sort are not only dangerous but also unethical.

WHO IS THE SOURCE OF INFORMATION?

When separating the wheat from the chaff, it is useful to have in mind who is the source of essential oil information. We can divide them into 3 categories.

  • Providers: online store owners, salespeople in specialised stores, or individual sellers and advocates that can be independent or belong to a multi-level marketing network.
  • Educators: book authors, bloggers, presenters of webinars, workshops and courses.
  • Producers: they often also sell essential oils directly to end users or act as educators (e.g., lead distillation workshops).

Depending on who is the information source, we can adjust our critical stance accordingly. From the producers we expect expertise in distillation techniques and procedures, but not a detailed theoretical knowledge about the chemistry of medicinal plants or essential oil safety. We are responsible for our own safety. The same applies to the sellers. Although we expect them to know their products, they may not be qualified to recommend their use, often relying on inaccurate sources or incidental cases.

As opposed to producers and retailers, you will typically aim to learn the most from the professional educators and therefore should be most critical about the information they provide. Keep in mind the key points described earlier. If the basic stuff doesn’t hold, what’s the chance that more specific topics will?

There is one more thing I would like to mention here: trusting your circle of people you know well can importantly affect how you will use your essential oils. Blind trust may not always be the best practice when attempting any serious use. Before taking advice, check out if recommended essential oils are suitable for your need in the first place, how to use them safely and what are the potential side effects.

WHERE TO START?

People often ask me where to start in all the jumble of information. The initial enthusiasm is usually a big enough motive to start educating yourself. But at the same time, it’s also a critical phase where you can make mistakes. Just start reading, eliminate dubious sources and don’t stick to a single source.

Education however never ends and the more you know, the more there is to learn. You will soon realise: there are no final answers! There’s much more about essential oils we don’t know about than what we do know. What matters the most is developing a critical distance. When you start having doubts, you’re on the right track!

REFERENCES

Dudareva, N., Negre, F., Nagegowda, D.A. & Orlova, I. 2006. Plant volatiles: recent advances and future perspectives. Critical Review in Plant Sciences 25: 417–440.

Endo, H., & Rees, T. D. 2007. Cinnamon products as a possible etiologic factor in orofacial granulomatosis. Medicina Oral, Patología Oral y Cirugía Bucal 12(6), 440-444.

Sarrami, N., Pemberton, M. N., Thornhill, M. H., & Theaker, E. D. 2002. Adverse reactions associated with the use of eugenol in dentistry. British Dental Journal, 193(5): 253-255.

Header image: Pixabay

Dr. Petra Ratajc is a biologist, researcher and educator, and the insightful person behind the most excellent blog The PhytoVolatilome. Her educational background includes medicinal and aromatic plants, secondary plant metabolites, pharmacology, pharmacognosy, conservation biology, and general biology.

Petra started The PhytoVolatilome because she felt “that the use of aromatic plants and especially essential oils is losing its botanical foundation, turning into instant problem solving. Nowadays, it seems that anyone with some basic training in aromatherapy is an expert in medicine and chemistry of essential oils.”

Chemistry is fine, but it’s not enough. I believe that understanding the plants themselves, together with human biology and some critical thinking is crucial for understanding the wider context and acquiring true knowledge. The big picture empowers you to start acting independently of popular information sources, make informed decisions, and avoid getting fooled by the snake oil sellers. –Dr. Petra Ratajc

We at the IJPHA are huge fans of Petra’s insights and her writing. This article was reprinted with her generous permission in the hopes that you will share this with your colleagues and friends who are using essential oils. Check out her blog to read more of her wonderful articles.

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The AIA Aims to Shed Light on Growing Concerns Regarding Essential Oils

A recent market report indicates favorable shifts in consumer demand and market expansion have helped the Essential Oil Manufacturing industry thrive in the current five-year period (IBIS World, 2016).

Market share concentration in this industry is low; no company accounts for more than 5.0% of industry revenue in 2016. Furthermore, IBIS World estimates that the top four players account for less than 10.0% of revenue in 2016. The level of concentration has been slowly rising over the past five years as network marketing companies continue to establish their brand names and thereby increase their market share. Although market share concentration has been slightly rising over the past five years, the level of concentration is expected to remain low over the long-term. A moderate level of barriers to entry will allow new companies to enter the market to take advantage of the rising revenue over the next five years.  The report’s analysts forecast the global essential oil market to grow at a compound annual growth rate of 8.26% during the period 2016-2020.

With the increase an increase in the demand for essential oils, we are seeing more adulteration in essential oils-even in those that are relatively abundant and easily produced. What does this mean for authentic practitioners of Aromatherapy and Aromatic Medicine?

With the theme, Out of the Bottle and Into the Garden: Traditional Herbalism to Aromatic Medicine, the Alliance of International Aromatherapists International Conference aims to explore the use of various plant preparations while emphasizing the importance of the plants from which we obtain our precious oils. Lectures will feature experts from around the world discussing sustainability, ethics and professionalism while growing your business. The importance of how essential oil demand  is impacting the availability of our oils will be highlighted with attention to other types of plant medicine that can be used to provide complementary care in practice.

With the growing interest in Aromatic Medicine and questions regarding our ability to practice Aromatic Medicine and specific protocols that incorporate internal use of oils, we will feature two special lectures on Aromatic Medicine and protecting your business from government intrusion.

This August the Alliance of International Aromatherapists, in partnership with the Rutgers University Plant Biology Department (New Brunswick, NJ), will bring together 300-400 of the world’s top Aromatherapy leaders, practitioners, educators, research scientists, integrative health practitioners and entrepreneurs. Business development, thought-provoking content and endless networking opportunities are tied together by engaging and inspiring speakers, trade exhibits, and pre-conference workshops, and social events about the future of the Aromatic plant community, innovation, marketing, communication and imagination.

Registration is open and information about the schedule, speakers, pre-conference workshops, hotel and transportation are all online at www.aromatherapyconference.com.

 

Advancing Clinical Aromatherapy Education in Women’s Health

pam-conradPam Conrad Discusses Her New Evidence-Based Program

Interview by Leslie Moldenauer CHNC, HHP, Cert. Aroma

Pam Conrad, PGd, BSN, RN, CCAP, earned her Bachelor of Science Nursing degree from Purdue University and has been a registered nurse for over 25 years. Pam completed R J Buckle and Associates 18-month Clinical Aromatherapy course for healthcare professionals in 2000. Pam’s focus in Aromatherapy has always been integrative; combining time-honored nursing and clinical Aromatherapy.

Upon completion of Dr. Buckle’s course, her family moved to England for two years where she studied advanced Aromatherapy with nurses and midwives, and completed a Post Graduate Diploma in Complementary Studies at the University of Westminster Graduate School of Integrated Health, in London. This is where Pam met Denise Tiran and Ethel Burns–two of her mentors–who both specialize in Aromatherapy and pregnancy/childbirth and postpartum. Pam became Ms. Tiran’s first international intern and was able to learn first-hand how to integrate complementary Aromatherapy alongside her traditional practice.

In 2008, Pam taught a group of 12 obstetrics (OB) nurses evidence-based clinical Aromatherapy and developed the first hospital OB Aromatherapy program in the United States (Burns et al., 2000 and 2007).  Since that time, multiple hospitals in Indiana (and now Santiago, Chile) have completed this course and developed clinical programs.

Pam currently has the only evidenced-based women’s health/ maternity/clinical Aromatherapy course in the United States that is approved by the American Holistic Nurses Association (AHNA).

LM: Pam, let’s talk a bit more about your evidence-based program being taught here in America. This is a substantial advancement for the industry. What makes your course unique? What is your course offering to potential students?

PC: Historically, the class has been nurses and nurse midwives. The program has recently extended to teach certified doulas as well as certified Aromatherapists. The International Journal of Professional Holistic Aromatherapy will be hosting the first class that includes certified Aromatherapists in February 2017.

The course is focused on labor, childbirth and postpartum. As new clinical evidence emerges, the course content is revised with Aromatherapy interventions for the nine months of pregnancy.

The program takes a clinical approach, which stands out from what is currently being taught in the United States. There are many factors that come into play when making a clinical decision with a patient, not just looking at the chemistry of a particular essential oil. We teach everyone how to analyze the person standing in front of them, looking at their medical history, medications, and to discern how they have responded to different therapies over the course of their lives. Some people react paradoxically to a therapy or an essential oil, this is taken into consideration as well. The clinical judgment and knowledge along with the property of the oils backed by evidence-based research is the basis of how the students are taught.

Another aspect that is covered in great detail is knowing how to decide which women are good candidates for Aromatherapy and which ones are not. We look at possible issues surrounding the neonate, so we teach what should be done for the mom with the baby as well as separate of the baby, in other words without baby present in the room.

In taking this well-rounded and evidence-based clinical approach, I believe that the program is incredibly unique, and very important to the community at large.

LM: Pregnancy and childbirth has until very recently carried with it a stigma, viewing it as a medical condition, rather than a natural and beautiful part of life. Can you talk briefly about how Aromatherapy is being used to facilitate the birthing process?

PC: Pregnancy, labor and childbirth are a beautiful and natural process for the female body. In normal healthy pregnancies, our bodies are well designed to adjust the many functions of our bodies as well as accommodate the growth and development of a fetus. Healthy nutrition, rest, and regular exercise can accomplish this task. At times women do become so uncomfortable with nausea, ingestion, stress, and aches and pains that Aromatherapy is a good choice. Occasional, very dilute and select essential oils used externally; i.e. Lemon (Citrus limon), Lavender (Lavandula angustofolia), and Red Mandarin (Citrus reticulata) have been very effective in our programs.

Unlike what seems like a popular notion, there is no need to help start the labor process. Utilizing Clary sage (Salvia sclerea) for example, is being overused with the idea that a therapist or a nurse can get labor started. This area needs to be understood more fully. If the mother is already in labor, there is no need to increase the contractions. This actually causes what is called hyper-contractions from uterine hyperstimulation (a potential complication of labor induction). This could create a risk for the mother or baby, especially if there are conditions such as cord around the babies neck, placenta previa1 or abrupto.2

The overall goal is to make the mother more comfortable. The more relaxed and comfortable she is, the more likely that natural labor is going to progress, as it should.

LM: Lavender was at one time considered an emmenagogue (uterine stimulant) and was considered contraindicated during pregnancy. In his book, Essential Oil Safety, 2nd Ed., Robert Tisserand dismissed this as a myth as he found no credible research to support that. Recently there has been some debate over this topic. Where do you currently stand on the issue?

PC: There have been some changes recently as far as opinions surrounding Lavender. The experts that I refer to are the clinical experts. When it comes to Aromatherapy, we all find a place to work from that we feel most comfortable, based on our own professional background. Being in the medical field for decades, I focus on the clinical experts and the evidence base, as well as our patient responses. Since beginning our program, we have collected patient data from over 1500 OB hospital interventions.

Historically, the agreement between Ethel Burns and Denise Tiran has been no topical application of Lavender until after the 24th week of pregnancy. The percentage for an acceptable essential oil during pregnancy is 0.5-1%. Once term labor begins this can be increased to 2%. This is a fraction of the dilution that you may have seen recommended often times in the industry.

In a clinical setting, when working with someone who has previous medical conditions or any other red flags; i.e. past miscarriages, in vitro fertilization (IVF),  multiples (twins, triplets,etc.) various blood lab abnormalities, high or low blood pressure, and swelling, the decision to be more conservative with Aromatherapy is recommended. For someone with no red flags, a decision may be made to use Lavender at the dilutions mentioned above before the 24-week mark. At that point, the only Lavender that would be used is Lavandula angustifolia, as ketones are a concern with other varieties of Lavender. If the soon-to-be-mother is going through such a high level of stress that it is insurmountable and puts a risk on the pregnancy and she needs help, Lavender (Lavandula angustifolia) may be used.

As long as the mother is not allergic to or dislikes Lavender, it can be used throughout labor and postpartum for anxiety and pain. Red Mandarin is also very helpful for anxiety, indigestion, and nausea and is emotionally uplifting.

As a nurse for many years, the clinical perspective, patient care experience and evidence base all play a part in my practice and courses.

LM:  I would like to talk a little bit about your 2012 study conducted with Cindy Adams, “The effects of clinical Aromatherapy for anxiety and depression in the high risk postpartum woman.” Can you tell us a little bit about that clinical study?

The aim of the study was to determine if Aromatherapy is effective at improving anxiety and depression in women at high risk of postpartum depression. It was a study that included 28 women who were all 0-18 months postpartum. The treatment groups were randomized to either inhalation or the Aromatherapy ‘M’ Technique. The treatment consisted of 15 min sessions, twice per week for four consecutive week using a 2% blend of Rose (Rosa damascena) otto and Lavender (Lavandula angustifolia). The non-randomized group avoided all Aromatherapy during this same time period. Allopathic treatment continued for all of the participants.

All subjects completed the Edinburgh Postnatal Depression Scale (EPDS) and

Generalized Anxiety Disorder Scale (GAD-7) at the beginning of the study. The scales were then repeated at the midway point (two weeks), and at the end of all treatments (four weeks).

No significant differences were found between Aromatherapy and control groups at baseline. However, the midpoint and final scores indicated that Aromatherapy had significant improvements greater than the control group on both EPDS and GAD-7 scores. No adverse effects were reported.

The study shows that Aromatherapy is very effective and safe as a complementary therapy in both anxiety and depression with postpartum women.

LM: What do you hope to see for the future of Aromatherapy? What other areas of support for women are you hoping to target in the near future?

Where I see the greatest importance for Aromatherapy during this passage of life is during the post-partum phase and early motherhood. The ability to identify a mom who is at risk for post-partum depression (PPD) is crucial. We can work with them to using Aromatherapy and other complementary therapies to help avoid PPD. We demonstrated the empowering use of the essential oil on mothers and their children in our published pilot study (Conrad and Adams, 2012).

The time during pregnancy and labor is the perfect time to teach a woman how to properly take care of herself during the post-partum period and beyond. When we are able to work as a team, thereby giving us nine months to provide the education to the mom as a complement to their care, greatly increases their quality of life. A mom can then to go to Aromatherapy first, rather than medical treatments, after birth. The postpartum period involves the mother navigating through a myriad of changes, both emotionally and physically. Aromatic complementary therapies can be a perfect stand alone support during the postpartum period for some women. In others, when medication is indicated, it can further support the mother physically and emotionally to improve her quality of life in early motherhood.

The IJPHA is proud to present Pam’s course in Women’s Health for Aromatherapists, nurses, nurse Aromatherapists, midwives, and doulas February 4-5, 2017 in Boulder, Colorado. For information about this program and to register, visit the IJPHA website at http://www.ijpha.com.

[1] Placenta previa is a problem of pregnancy in which the placenta grows in the lowest part of the womb (uterus) and covers all or part of the opening to the cervix.

[2] Placenta abrupto is when the placenta detaches from the wall of the womb (uterus) before delivery.

References

Burns E et al.. (2000). An investigation into the use of Aromatherapy in intrapartum midwifery practice. The Journal of Alternative and Complementary Medicine. 6 (2), p141-147.

Burns E, Zobbi V, Panzeri D, Oskrochi R, Regalia A. (2007). Aromatherapy in childbirth: a pilot randomised controlled trial. BJOG. 114 (7), p838-844.

Conrad P and Adams C. (2012). The effects of clinical Aromatherapy for anxiety and depression in the high risk postpartum woman-A pilot study. Complementary Therapies in Clinical Practice. 18 (3), 164-168.

Leslie Moldenauer has been studying natural living and holistic wellness for over 10 years. She is the owner of Lifeholistically.com, a trusted resource that covers essential oil safety and encompasses all that natural living has to offer. Leslie is passionate about providing education and tools to help others make decisions regarding safety above all things when utilizing aromatherapy in the home. Leslie earned her degree in Complementary and Alternative Medicine (CAM) at the American College of Healthcare Sciences in Portland, Oregon. She is currently earning an advanced diploma in Aromatic Medicine with Mark Webb (Australia), and has trained with Aromatherapy researcher and educator Robert Tisserand.

Putting some order into Matricaria recutita et Chamaemelum nobile

A wonderful article written by Cathy Skipper comparing and contrasting Roman and German Chamomile!

Cathy Skipper

The choice of Chamomile came up for the first edition of our magazine by chance but one of those chances where you feel that you are being gently pushed in a certain direction, A conversation on a herbal forum about the differences betweenChamaemelum nobile L and Matricaria recutita triggered me into trying to put some order into this vast subject and pin point some of the differences between Roman and German chamomile.

ImageTo begin with chamomile is one of those plants that everyone has heard of as a herbal tea, it was probably the first herbal tea I made myself as a young student thirty years ago in London when I started to feel the need for plants in my diet. The only snag with this is that in most of these cases, it probably wasn’t chamomile but Matricaria recutita, ok so I am being too pernickety I hear…

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I’ve Jumped off the Essential Oil Bandwagon

normal after all

Photo courtesy of Honolulu Media https://www.flickr.com/photos/68909241@N07/ Photo courtesy of Honolulu Media https://www.flickr.com/photos/68909241@N07/

Okay, not so much the essential oil bandwagon but definitely the MLM essential oil bandwagon.

A couple of years ago, I was introduced to doTerra essential oils. I was intrigued by the idea of the therapeutic use of essential oils. I signed up and was excited to learn more.  Prior to that, my only experience with essential oils was using them for making homemade cleaning products.  I had tried using lavender essential oil a few times and hated it – it always gave me a headache.  After starting with doTerra, I learned that I didn’t hate lavender, I only hated adulterated lavender, which is most lavender available to purchase in stores.  I learned there was a difference between oils bought in most stores and doTerra’s Certified Pure Therapeutic Grade (CPTG) oils and of course I learned that doTerra is the only company with CPTG…

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the big, burning question, part ii: how I choose my essential oil suppliers

The Untamed Alchemist further discusses the important factors that matter in selecting essential oils as they matter to her…and I wholeheartedly agree!

The big, burning question I so often get is, “what brand of essential oils do you recommend?” The first part of my response to the question, focused on the question itself, can be found in part i of this series here. In this post you’ll find part ii of iii, focused on the criteria I use in choosing my essential oil suppliers.

Part II: How I Choose My Primary Essential Oil Suppliers

There are a wide variety of essential oil suppliers and they can vary tremendously in the quality and purity of their oils, their commitment to sustainability, their customer care, their empowerment of safe use, and their engagement with the aromatherapy community; choosing the best among them can be difficult, but there are a surprising number of companies who offer quality essential oils who have met my relatively stringent standards.

There are two categories of things I consider when choosing my suppliers: the nitty-gritty details of…

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the big, burning question, answered (sort of), part i of iii

I am sharing this blog piece written by a dear friend who is always aver so eloquent in expressing her point of view (often shared by myself and so many others in the aromatic community). I highly encourage anyone engaged in buying essential oils to read this. (PS…there’s no brand bashing)

Of all of the questions I’m asked as an aromatherapist, the question about “which brand” of essential oils I recommend is BY FAR the most commonly posed — it’s also one of the most problematic and troublesome questions to answer. It’s especially precarious to provide a pat answer on a blog….

For me to really address this question meaningfully takes a lot of energy, honesty, and context, especially as I find it impossible to answer in short fashion. So I’ll be “answering” this question in three parts.

My “big picture” has to be in place for you to understand and appreciate my response, not least because my thinking challenges the context of the question itself.

So, rather than answer the question by naming a company, I’m going to walk you through how I address this question in the context of my workshops–and that’s going to take more than one post. My response will come in three parts: my perspective on…

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